Bajaj Allianz Extra Care - Top Up Health Insurance

Objective

This is a top-up health insurance policy where insurance company pays medical expenses in excess of a certain limit up to maximum sum insured. The limit is the deductible i.e. the amount which has to be borne by the policyholder or by his existing cover, before the insurance benefit actually kicks in. Deductible limit is applicable on each hospitalisation taken by insured person which means that deductible limit refreshes every time insured person is hospitalized as an inpatient within the policy term.

Our View

This policy is suitable only if the chances of contracting a major illness, which would otherwise dent your financial resources, in future are high. Though this policy is meant to increase the existing insurance cover, the catch here is that deductible applies to every single claim. It will not come in picture till single claim crosses the threshold limit.

Suited for

This policy is suitable for any person who believes that existing insurance cover is inadequate to cover the rising costs of medical treatments. A person who does not have any medical insurance policy may also take this policy. The initial expenses up to threshold limit in this case will have to be borne by the insured person.

What does it do?

This health insurance plan covers hospitalisation expenses if treatment is taken as an inpatient. It covers medical expenses, room rent, boarding, nursing care, surgeon, anesthetist and specialist fees up to the sum insured. This policy also provides for ambulance charges upto maximum of Rs 3,000 per hospitalisation for transporting insured person from residence or place of accident to hospital and from hospital to residence.

Pros

It covers relevant medical expenses from 60 days prior and 90 days post hospitalisation.

This policy can be purchased online.

Cons

The deductible limit applies each time hospitalisation services are accessed.


Eligibility

Entry Age (years)

18; 3 Months for Children
70; 25 for Children
80
Individual/ Family floater

Sum Insured (Rs)

15 lakh
10 lakh
1
Premium paid is eligible for tax benefit under section 80D of the Income Tax Act
Not required below 55 years of age. 50% reimbursement of medical check up costs on acceptance of proposal in case where medical tests have been conducted.
15 days grace period is allowed to policyholder for payment of premium. If policyholder fails to make payment within the grace period, the applicable waiting period(s) shall start afresh
Policyholder is allowed to terminate the policy at anytime by giving a 15 day written notice. In case no claim has been made under the policy, percentage of premium will be refunded

Customer Service

Bajaj Allianz General Insurance Company Limited. GE Plaza, Airport Road, Yerawad, Pune - 411006
1800 225858(BSNL/ MTNL); 1800 1025858 (Bharti users- mobile/ landline) or 020 30305858
Extra' to 56070

Additions to the Plan

Cost Details